Awakening Substance Abuse & Behavioral Health
Clinic/Center, Rehabilitation, Substance Use Disorder in Iowa City, IA. Organization (NPI-2).
NPI number1164032934
StatusActive
Last updated in NPPESAug 5, 2020
Details
- NPI
- 1164032934
- Entity type
- Organization (NPI-2)
- Legal business name
- Awakening Substance Abuse & Behavioral Health
- Organization subpart
- No
- Enumeration date
- Aug 5, 2020
- Certification date
- Aug 5, 2020
- Last updated
- Aug 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
2030 Keokuk StIowa City, IA 52240-4456
Phone 319-351-9760
Mailing address
2030 Keokuk StIowa City, IA 52240-4456
Phone 319-351-9760
Authorized official
Amehed M Shek
Executive Director
3193519760
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